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.r Puplio WOAe PROJECT AUTHORIZATION FORM P '" ° arAf a OOen S Oip OlvlflOnf cit'af E00ene 1820R00feven SIA Eueene. OnW.W402 (541)0821800 (541)882 -1802 FAx www.euaene -or eov Service ID: J n r5c) Z� SID PB _ GL_ 1C JE Project Title: Laurelwood Golf Course Capital Projects (location and work description) Project Manager /Contact /Private Engineer: Kevin FUNDING SOURCES: City x 33, 000 Assessments Private Other Departmen Account Code 311 - 9335 - xxxxx- 975063 Fed /State /Count /FAA _ ( %,nxED) COMMENTS /SPECIAL PROJECT INFO./INTERDEPARTMENTAL WORK DESCRIPTION: LRCS requested a separate project code for miscellanous A -6 projects at Laurelwood Golf Course. APPROVED: Project Manager: 4�(J,).,---, Date: Section Manager: _ Date: Financial Analyst: /' -( ,;_ "WJ; l / Date: ° Division Manager: /�r L, Date: FOR USE BY ADMINISTRATION ONLY i g: GL Title Bike lanes /paths: (widths) Date: (width) rete walks Setback /Curbside ewater Stormwater Landscaping I Street lights Row required building construction Planning, Other Remodel FUNDING SOURCES: City x 33, 000 Assessments Private Other Departmen Account Code 311 - 9335 - xxxxx- 975063 Fed /State /Count /FAA _ ( %,nxED) COMMENTS /SPECIAL PROJECT INFO./INTERDEPARTMENTAL WORK DESCRIPTION: LRCS requested a separate project code for miscellanous A -6 projects at Laurelwood Golf Course. APPROVED: Project Manager: 4�(J,).,---, Date: Section Manager: _ Date: Financial Analyst: /' -( ,;_ "WJ; l / Date: ° Division Manager: /�r L, Date: ATTACHMENTS: PWM /POS 100 Revised: Aug 2010 FOR USE BY ADMINISTRATION ONLY Capital Project No. ACK GL Title Assigned by: Date: Accounting by: Date: ATTACHMENTS: PWM /POS 100 Revised: Aug 2010